Articaine better than lidocaine for supplementary infiltration after mandibular block anaesthesia

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10 studies involving 746 adult patients were included in this review comparing articaine and lidocaine in patients with symptomatic irreversible pulpitis. Articaine was as effective as lidocaine and provided better supplementary infiltration after mandibular block but no other advantages.

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Sealants reduced caries in high-risk primary molars

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This split-mouth trial conducted in 4-5 year old children found that sealants were superior to fluoride varnish applications in preventing the development and progression of caries in occlusal surfaces of primary molars over 1 year.

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Caries risk factors identified in life course approach studies

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11 studies (7 cohort, 4 cross-sectional) were identified for this review of caries risk factors identified by life course approach studies. Different life course factors were associated with the development of dental caries among children and adolescents, including sociodemographic, biological, psychological, and oral health behaviors, as well as the dental status of mothers, children, and adolescents.

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Eugenol-based sealers reduced bond strength of fibre posts

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This review of the impact of eugenol-based sealers on the bond strengths for fibre posts cemented to root canals included 9 in-vitro studies. The eugenol-based sealants reduced the bond strength by 0.8 MPa.

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Pulpectomy in primary molars: little difference with 3 filing materials

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This small trial compared the success rates of 3 different filling materials (RC Fill, Vitapex and Pulpdent ) following pulpectomy in primary molars. At 30 months there were no significant differences between the groups.

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Anterior open bite: limited evidence for current treatment approaches

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While 22 studies were included in this review of the treatment of anterior open bite, only 3 were RCTs. The RCTs and the other included studies were of low quality and a wide range of treatment approaches and appliances were used. Further high quality trials are needed to guide clinical practice.

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Fixed functional appliances for class II malocclusions

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This review of fixed functional appliances for treatment of class II malocclusion included 9 studies, only one of which was a RCT. The findings suggest that fixed functional appliances are effective at producing short term improvements in class II malocclusions but should be interpreted with caution because of the quality of the available evidence.

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Traumatic dental injury associated with overweight/obese children?

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This review of observations studies of traumatic dental injury includes 17 studies and found a higher risk of injury in overweight/obese children. Odds ratio = 1.30 (95% CI, 1.11–1.53; P < 0.05).

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Motivational interviewing for paediatric oral health

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The review of motivational interviewing (MI) to improve parent-child health interventions included 25 studies in all with 4 dental studies. The dental studies demonstrated a positive effect on oral health and were suggestive of a benefit on dental caries.

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Tooth whitening at home–strips or gel?

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This review compared tooth whitening strips against 10% carbamide peroxide gel. Only 9 low quality studies were available and while meta-analysis found no difference between the interventions, the authors did not consider that strips were a substitute for gel.

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